attachment-32-rfb-2027-dph-01-formu-nh-july.pdf
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- Attached to
- NEATO/WIC Retail Infant Formula Rebate Agreement
- Solicitation number
- RFB -2028-DPH-01-FORMU
- Issued by
- New Hampshire
About this file
This is an infant formula product rebate invoice issued by the New Hampshire Department of Health and Human Services (DHHS) Nutrition & Health Promotion Section for the WIC (Women, Infants, and Children) Program. The document details rebate calculations for Abbott Similac infant formula products covering redemptions during July 2025, with a report date of August 8, 2025. The invoice encompasses multiple Similac product varieties including powder formulations (Isomil, Sensitive, Advance, Total Comfort, and 360 Total Care) and ready-to-feed options in various sizes ranging from 8-ounce 6-packs to 32-ounce containers. The rebate period covers both June and July 2025 service months, tracking units issued versus units redeemed across the product line.
The total rebate amount due from Abbott Nutrition for the July 2025 redemption period is $213,562.03, with remittance required by September 8, 2025. The rebate structure applies per-unit rates ranging from $3.15 to $23.46 depending on the product type and size. June 2025 redemptions generated an additional $70,234.95 in rebates. Abbott Nutrition is directed to remit payment to the Treasurer of the State of New Hampshire at the DHHS Nutrition & Health Promotion Section office in Concord, with a copy of the invoice sent to Abbott's Columbus, Ohio facility. The invoice represents Contract Number 123 and demonstrates the WIC Program's systematic tracking of formula product redemptions and associated manufacturer rebate obligations.
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Text version
New Hampshire DHHS WIC Program Product Rebates Invoice
Aug 8, 2025
Contract Number:
Period Covered:
07/01/2025 - 07/31/2025
Payment Due: 09/08/2025
Please review the following calculations used to determine your rebate.
REMITTANCE SHOULD BE SENT TO:
REBATE SUMMARY
MONTH OF REDEMPTION July 2025
Department of Health & Human Services Nutrition & Health Promotion Section 29 Hazen Drive Concord, NH 03301 Checks payable to: Treasurer State of New Hampshire
Abbott Nutrition Attn: Danielle Jonda 3300 Stelzer Rd., Dept. 106711, RP2-2 Columbus, OH 43219-3219
Similac $213,562.0320
Total Remittance Due $213,562.0320
Report Date: 8/8/2025 8:32:54 AM Page 1 of 3
Similac Month of Service / Issuance Jul-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 397 290 $23.4610 $6,803.6900
Abbott Similac Soy Isomil Conc. 13 oz 31 31 $6.6710 $206.8010
Abbott Similac Sensitive Pwd 12.5 oz 2,808 1,844 $22.3170 $41,152.5480
Abbott Similac Advance Pwd 12.4 oz 4,958 3,039 $20.5100 $62,329.8900
Abbott Similac Advance RTF 32 oz 26 13 $3.1200 $40.5600
Abbott Similac Total Comfort Pwd12.6 oz 2,409 1,437 $22.0770 $31,724.6490
Similac 360 Total Care RTF 8oz 6pk 122 70 $4.8210 $337.4700
Similac 360 Total Care Sensitive RTF 8oz 6pk 112 56 $4.8210 $269.9760
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
270 0 $0.0000 $0.0000
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 111 $3.5500 $394.0500
21-706 Abbott Similac 360 Total Care 32oz RTF 0 19 $3.5500 $67.4500
July Total $143,327.0840
Month of Service / Issuance June-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 374 80 $23.4610 $1,876.8800
Abbott Similac Soy Isomil Conc. 13 oz 31 7 $6.6710 $46.6970
Abbott Similac Sensitive Pwd 12.5 oz 2,936 840 $22.3170 $18,746.2800
Abbott Similac Advance Pwd 12.4 oz 4,999 1,557 $20.5100 $31,934.0700
Abbott Similac Advance RTF 32 oz 26 20 $3.1200 $62.4000
Abbott Similac Total Comfort Pwd12.6 oz 2,423 754 $22.0770 $16,646.0580
Similac 360 Total Care RTF 8oz 6pk 97 51 $4.8210 $245.8710
Similac 360 Total Care Sensitive RTF 8oz 6pk 115 52 $4.8210 $250.6920
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
286 0 $0.0000 $0.0000
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 104 $3.5500 $369.2000
21-706 Abbott Similac 360 Total Care 32oz RTF 0 16 $3.5500 $56.8000
June Total $70,234.9480
INFANT FORMULA REBATES
REBATE DETAIL
Contract No. 123
Report Date: 8/8/2025 8:32:54 AM Page 2 of 3
Product Rebates 08/08/2025
Similac Month of Service / Issuance Jul-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 771 370 $23.4610 $8,680.5700
Abbott Similac Soy Isomil Conc. 13 oz 62 38 $6.6710 $253.4980
Abbott Similac Sensitive Pwd 12.5 oz 5,744 2,684 $22.3170 $59,898.8280
Abbott Similac Advance Pwd 12.4 oz 9,957 4,596 $20.5100 $94,263.9600
Abbott Similac Advance RTF 32 oz 52 33 $3.1200 $102.9600
Abbott Similac Total Comfort Pwd12.6 oz 4,832 2,191 $22.0770 $48,370.7070
Similac 360 Total Care RTF 8oz 6pk 219 121 $4.8210 $583.3410
Similac 360 Total Care Sensitive RTF 8oz 6pk 227 108 $4.8210 $520.6680
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 215 $3.5500 $763.2500
21-706 Abbott Similac 360 Total Care 32oz RTF 0 35 $3.5500 $124.2500
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
556 0 $0.0000 $0.0000
July Total $213,562.0320
INFANT FORMULA REBATES
REBATE DETAIL - Total Paid By Month
Contract No. 123
Report Date: 8/8/2025 8:32:54 AM Page 3 of 3
Product Rebates 08/08/2025
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